Effectiveness of Eccentric and Concentric Strength Training in Patients With Subacromial Impingement Syndrome

Not Applicable

Completed

• Conditions: Subacromial Impingement Syndrome
• Interventions: Other: Eccentric training; Other: Concentric training; Other: Standard physiotherapy

• Registration Number: NCT03186287
• Lead Sponsor: Dokuz Eylul University

Brief Summary

The purpose of this study is to investigate and compare the effects of eccentric and concentric strength training on pain, strength, joint position sense and function in patients with subacromial impingement syndrome.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2017-06-09
• Study First Submitted QC: 2017-06-13
• Study First Posted: 2017-06-14
• Study Start: 2017-09-21
• Primary Completion: 2020-03-16
• Study Completion: 2020-03-16
• Status Verified: 2020-04
• Last Update Submitted: 2020-04-15
• Last Update Posted: 2020-04-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 45

Inclusion Criteria

• Diagnosis of subacromial impingement syndrome
• Complaints associated with subacromial impingement syndrome for at least 3 months
• No extra pain with 90 degree abduction-90 degree external rotation position of the shoulder
• Ability to complete the entire study procedure

Exclusion Criteria

• Severe pain; shoulder pain is > 7/10
• History of upper extremity fracture
• History of shoulder, cervical and thoracic surgery
• Having shoulder instability or frozen shoulder diagnosis
• History of shoulder injuries, trauma and / or shoulder symptoms requiring treatment during the last 1 year (except than subacromial impingement syndrome)
• Full-thickness rotator cuff tear
• Systemic musculoskeletal disease
• Neck and shoulder pain with cervical spine movement
• Chest deformity or scoliosis diagnosis

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Eccentric training group	Eccentric training	The participants in this group will actively perform eccentric phase of resistive shoulder exercises. Additionally they will receive standard physiotherapy.
Eccentric training group	Standard physiotherapy	The participants in this group will actively perform eccentric phase of resistive shoulder exercises. Additionally they will receive standard physiotherapy.
Control group	Standard physiotherapy	The participants in this group will receive only standard physiotherapy.
Concentric training group	Concentric training	The participants in this group will actively perform concentric phase of resistive shoulder exercises. Additionally they will receive standard physiotherapy.
Concentric training group	Standard physiotherapy	The participants in this group will actively perform concentric phase of resistive shoulder exercises. Additionally they will receive standard physiotherapy.

Primary Outcome Measures

Name	Time	Method
Shoulder Function	Baseline, 12 weeks and 24 weeks	Change of Constant Murley Score

Secondary Outcome Measures

Name	Time	Method
Eccentric strength	Baseline, 12 weeks and 24 weeks	Change of shoulder abduction and external rotation eccentric strength (in kg, with hand held dynamometer)
Joint position sense	Baseline, 12 weeks and 24 weeks	Change of shoulder joint repositioning angle errors (with bubble inclinometer)
Pain intensity	Baseline, 12 weeks and 24 weeks	Change of visual analog scale score in activity and rest
Isometric strength	Baseline, 12 weeks and 24 weeks	Change of shoulder abduction and external rotation isometric strength (in kg, with hand held dynamometer)
Upper extremity function	Baseline, 12 weeks and 24 weeks	Change of disabilities of the arm, shoulder, and hand (DASH) score

Trial Locations

Locations (1)

Dokuz Eylul University, School of Physical Therapy and Rehabilitation; 🇹🇷 İzmir, Balçova, Turkey